medical simulator

Chapter 112 Everyone who knows is sensible, acting in a full set! (Please subscribe!)
None of Zeng Yi, Li Changhong, and Cai Dongfan had a major in joint surgery. They only had a bachelor's degree when they worked, and they studied clinical medicine (five-year course) as a whole.

But although he does not specialize in joint surgery, after so many years of clinical experience, he still has a basic understanding of joint dislocation.

There are four main symptoms of joint dislocation -

Deformity, pain, limited mobility, dislocation on imaging.

The four major signs go hand in hand and hardly exist independently.

The signs to evaluate the successful reduction of joint dislocation are closely related to these four signs.

Pain relief, recovery of activity.

But now that the patient has received a brachial plexus block, if the patient can still feel pain relief and resume activities, it means that Zeng Yi, the director of the anesthesiology department, is not skilled enough.

There are therefore only two evaluations left that can be used.

The affected limb was deformed, and the deformity visible to the naked eye disappeared.

However, the disappearance of the deformity visible to the naked eye is not as accurate as the palpable articular surface returning to the normal structure.

The three of them only saw the disappearance of the deformity, and their minds were tumbling for an unknown number of times.

Zeng Yi and Li Changhong immediately turned to look at Cai Dongfan.

This dislocation?That's it?
So at the very beginning, Cai Dongfan sent someone who could solve the problem to us, and we drove him away, and then there were so many moths behind him?
Cai Dongfan hurriedly explained in a low voice: "Director Zeng, Director Li, I knew that Zhou Cheng would reset the technique, so I called him to the Department of Orthopedics immediately!"

"Of course it's too late to say these things now, let's settle things first."

After finishing speaking, he first leaned towards the operating table and waited for Zhou Cheng to give the patient a standard physical examination.It is also the second evaluation criterion to determine the successful reduction of joint dislocation before C-arm fluoroscopy again.

Zhou Cheng didn't make everyone wait for a long time, but after carefully inspecting the dislocated planes of the inferior radioulnar joint and metacarpal joint, he cautiously glanced at Luo Yun, took two steps back, and stepped aside. Location.

He said, "Teacher Luo, I think it's a blessing."

"You should review it again, just be sure."

Zhou Cheng's tone was sincere, not to show off in front of Luo Yun and the others on purpose, but because he felt that the physical examination results from Luo Yun's mouth would be more convincing.

Because it can be seen that Zeng Yi, Li Changhong and others trust Luo Yun more, and now that Luo Yun is by his side, there is no need for any more misunderstandings.Luo Yun checked again, and it didn't take much time.

And now everyone in the operating room can't afford to waste their time. As long as the patient's dislocation is done well, it will be fine to delay for another half an hour!

Luo Yun nodded, and then began the physical examination: "The surface of the DRUJ is smooth and has basically recovered."

"The articular surface of metacarpal dislocation has basically recovered."

Luo Yun's physical examination was not limited to this, but demonstrated his profound knowledge and professionalism as a joint surgeon: "Check the stability of the radial styloid process, ulnar head, snuff socket and DRUJ. "

"Active range of motion cannot cooperate, passive range of motion: fully extended position is 0°, palmar flexion is 0°-60°, dorsiflexion is 0°-50°, radial deviation is 0°-30°, ulnar deviation is 0°-40° .”

"The patient's healthy upper limb is receiving intravenous infusion, so it is impossible to compare. However, the passive range of motion is within the normal range." Luo Yun explained to the patient after professionally completing the physical examination.

Zeng Yi, Li Changhong and the others breathed a sigh of relief when they saw Luo Yun demonstrating the speed of movement for them and adding explanations one by one.

After resetting, it is already very good to have such a good passive range of motion, at least we can look forward to it.

But when Zeng Yi was about to say something, Luo Yun's hand continued to move, and at the same time began to dictate:
"Finkelstein test uncooperative due to anesthesia."

When Zeng Yi heard this, the expression under the mask froze, what was Luo Yun talking about?What Finkelstein?

Cai Dongfan and Li Changhong also opened their mouths slightly.

And Luo Yun chose to continue:
"Kirk Watson sign (negative)."

"Lane-Kirk Watson sign (-)"

Luo Yun spat out two extremely professional terms again, and seemed to see the blank embarrassment in the eyes of Zeng Yi and others, while Zhou Cheng looked a little calm, as if he really understood.

Luo Yun instantly understood.

Experts will know if there is one as soon as they make a move. Joint surgery has its own very professional knowledge system and system.

Zhou Cheng's expression showed that he understood the location and purpose of his inspection. He really did his detailed homework, not some wild way.

Zhou Cheng's bottom was revealed.Luo Yun felt that there was no need to continue to embarrass Zeng Yi, Cai Dongfan and others, so he directly added an explanation in the following physical examination:

"Cardioradial and midcarpal drawer test (-), no laxity in the midcarpal joint."

"Medium wrist displacement test (-), no ulnar deviation of the affected limb."

"The fulcrum shift test (+), the planar structure between the cranium and lunate was restored."

"No relaxation and crepitus (-) in the Reagan test: no abnormalities in the planar structure of the lunate, triquetrum, and pisiform bones."

"Chris-Bain test (-), the stability of the lunate, triangular, and pisiform bones was restored."

"Piano key test (-): no dorsal subluxation."

"Radioulnar drawer test (-)"

"Sag test (-), no DRUJ (dorsal subluxation of radioulnar joint)."

After doing this, Luo Yun fiddled with it a bit, but he seemed to shake his head before turning his head and said: "Director Zeng, Director Li. There are also some other special signs. The patient currently has no pain, and the examination cannot cooperate. I think It’s time for the next step.”

"Do the directors feel the need to add anything?"

Luo Yun has his reasons for doing this. It is not just to show off his knowledge, but to improve Cai Dongfan. He is really a very professional joint surgeon. Our second orthopedic department can start to accept some joint surgeons. Surgical specialist patients.

Second, even though Zhou Cheng is just a small resident now, he has done manual reset for dislocated joints. In fact, in your heart, you are not sure whether Zhou Cheng's manual reset is good or not.

I can be sure, I don't mean sure, but really sure, because I am a professional.

The above are the results of the joint stability and stimulation test that I can do now after a systematic physical examination. These test results support my current argument.

As early as Luo Yun started to talk about a lot of awkward medical examinations, Zeng Yi and Li Changhong became nervous because they couldn't understand!

They are no rookies anymore, but as Luo Yun said, they are too professional.

For example, if joint surgery is a palace, Cai Dongfan and the others have only walked around the palace at most, and Luo Yun has lived in it, so when it comes to understanding it, it is naturally not as good as living in it. People are so familiar.

As soon as Luo Yun said this, Zeng Yi immediately looked relaxed for a while, shook his head and said, "I don't think there is any need to add, your physical examination is already detailed enough, let's use the C-arm X-ray."

Rao Zeng Yi's self-cultivation is not bad, when Li Changhong and him shirked responsibility before, he didn't scold his mother in his heart.

But at this moment, I also cursed in my heart, Luo Yun, let me add to your grandma and ancestors, you definitely did it on purpose...

"Changhong, Dongfan, do you think so?" The matter was more than half settled, Zeng Yi relaxed a bit, and naturally felt that the sword Luo Yun handed over cannot be picked up by himself, and I want you to feel it sharp.

Cai Dongfan immediately shook his head, blinking his small eyes, and replied: "What Xiao Luo said is what I think, the joint patients in our group were previously in charge of Xiao Luo."

After finishing speaking, Cai Dongfan felt that he had to speak more safely, and added: "Xiao Zhou also assisted in handling it."

"It depends on whether Director Li thinks there are other inspections that need to be supplemented?"

"After all, the patient belongs to Director Li, so it's not easy for me to do it for me."

Cai Dongfan felt good at the moment, this Luo Yun really gave him a face.

When Li Changhong called him before and said that Luo Yun didn't need to come again, Cai Dongfan actually had a problem in his heart.

You are in trouble, I sent someone to you immediately, and you still call me to say that I am not, did I perfunctory you?
These words are not easy to say, but at this moment it can be used as a metaphor, giving you a look and you can experience it yourself.

What is a professional?

The two people that Lao Tzu took care of were very professional.

Li Changhong didn't have the time to figure out what Cai Dongfan was hiding at the moment. As Cai Dongfan said, the patient belonged to him, and he just wanted to solve the patient's dislocation as soon as possible. The professor from the outer hospital was the solution, and the internal solution was also the solution.

Quickly said in a low voice: "Since Luo Yun is a professional, let's listen to the evaluation of professionals, push the C-arm, and see through."

"After the X-ray, the result is OK, so I'll explain it to the patient's family as soon as possible."

This is already a different kind of confession and convincing.

When Cai Dongfan heard this, he didn't want to say much. Zeng Yi immediately asked the roving nurse to prepare for X-rays, and then went to push the C-arm machine himself.

Seeing this, Li Changhong immediately volunteered to push the C-arm.

Call everyone out and go to the separate isolation room next door.

……

The fluoroscopy is very fast, and the result comes out in seconds.

After reading it, Zeng Yi breathed a sigh of relief, thinking that the post-operative plain film looks like what a normal person's wrist should look like.

But he didn't dare to speak first, but looked at Luo Yun and asked, "Luo Yun, is the result okay?"

Zeng Yi was also a little apprehensive. Luo Yun's previous physical examination could no longer be simply described as a professional. It can be said that Wang Yaoxiang said that he knew how to perform joint surgery.

After watching the flat film, Luo Yun pursed his lips and patted Zhou Cheng on the shoulder.

He cursed in a low voice: "What is the pestle doing here? You are the one in charge. No matter whether it is good or not, you have to give an explanation for the plain film after the postoperative review. Remember this habit in the future."

This is a habit in the large teaching hospital, that is, when Luo Yun was studying in the past.

Regardless of the results of the intraoperative re-examination, whether it is good or not, the surgeon must explain it first. To evaluate where a surgery is good and where it is not.

If you don't do well, you can tell it. Naturally, a professor will explain it to you.

Of course, if the professor at the top also finds that there is something wrong with his operation, then there is no way to do it. We can only bite the bullet and continue to do it together.

Such cases are rare, but they do happen.

This is an objective fact, and it is also a cruel thing.

Even my own teachers, including the team of academicians, including the world's top orthopedic team, will have cases and diseases that exceed the team's capabilities.

Less, but also present.

Zhou Cheng immediately gave an explanation: "Director Zeng, Director Li, Teacher Cai, Teacher Luo. I think the result of the reexamination is good, because you see, this is the DRUJ..."

After Luo Yun said so, Zhou Cheng took the initiative to explain the plain film of the postoperative review, and explained in detail which places to look at, and what is the use of looking at these places.

(Note 1: I can’t put the flat film, so I won’t explain the word count in detail. The professional physical examination above has shown its professionalism.)
(Note 2: If you have orthopedics-related professional friends, you can send the clips to pretend to be forceful, and ask what these are for. But I was asked back, and the author is not responsible for answering questions. Go to Baidu or check professional information by yourself and literature.)
(Note 3: Tsundere face.)
"Here, we can see."

Zhou Cheng quickly entered the 'status', instead of Zhou Cheng reporting to Zeng Yi and Li Changhong, the style immediately changed to Zhou Cheng giving lectures to four people.

Explain what joint dislocation looks like, and then what it looks like after reset. After the joint dislocation is reset, there will be differences from the normal joint structure due to edema.

Zhou Cheng spoke in too much detail, mainly to convince Zeng Yi and the others.

This is also learned from Luo Yun.

But after talking for a while, Luo Yun rolled his eyes again.

Touched Zhou Cheng, said: "It's almost done, why are you so blah? Get over it quickly, Director Zeng and Director Li still have their own affairs."

Luo Yun cursed inwardly, "Zhou Cheng, we're almost done. I'm just showing off. You're better off, just come to class as a teacher."

I only dare to click to the end. If you do this, it will backfire. Didn't you see that Li Changhong and Zeng Yi will soon reach the critical point of impatience?We are all subordinates after all.

Zhou Cheng immediately concluded: "Director Zeng, Director Li, I think we can tell the family members that we have succeeded in the conservative treatment."

This is what Li Changhong was waiting for. He didn't agree with the manual reset of joint dislocation in the department. He also estimated that this was the second joint dislocation patient in the Department of Orthopedics, and it would be the last one.

Where did he have the heart to listen to Zhou Cheng's persuasion, the reason why he listened politely and patiently was because Zhou Cheng treated him difficultly and did not dare to lose his temper as a superior doctor.

As the director, he can use the trick of drawing salary from the bottom of the pot.

But after all, Cai Dongfan was facing him face to face, so if he messed with Cai Dongfan like this, he would definitely not understand him.

He immediately said politely: "Okay, the rest is just another plaster cast, right? I'll call someone to put a plaster cast on right away."

Zhou Cheng has helped so much, even if Li Changhong thinks he is the director again, it is not easy for Zhou Cheng to do the finishing work of plastering.

Wang Yaoxiang and others are doing emergency surgery, just call anyone to put on a plaster cast.

Zhou Cheng scratched his neck and said, "Director Li, let the patient's family members buy a wrist brace online? Plaster is not easy to use."

Although gypsum is a basic and practical auxiliary tool in orthopedics, the fact that it is widely used does not mean that it is easy to use.

For joint fixation, the best thing is to customize the brace. Customizable braces are too expensive, and you can buy retractable braces online. (I hope that the knowledge points that book friends will not use.)
"Okay!" Li Changhong nodded hurriedly.

Wrist braces, he still knows.

Fractures of the upper limbs, there are also finger braces instead of plaster casts made of aluminum plates...

That means there is nothing to do, and the matter is over.

Luo Yun took the initiative to take Zhou Cheng away, while Li Changhong went into the operating room and told the patient the good news first.

The patient was stunned for a moment, then she was shocked and disbelieving at first, but immediately burst into tears with excitement. She really didn't want to have an operation. Like a roller coaster.

Now, although she was told that she could not have the operation, she felt that Li Changhong was simply too inconsistent, but this was a good thing, and she would naturally not be concerned about Li Changhong's face-slapping thing of saying that he would have an operation, but not having it... …

Zeng Yi left with Cai Dongfan, leaving before Luo Yun and Zhou Cheng.

After going down to the dressing room downstairs, the two of them didn't change their clothes, but hid in the 'relaxation room', and each of them ordered a stick, wanting to relax.

Today, because of this patient, whether it is Zeng Yi or Cai Dongfan, it is quite a headache.

There was no one in the smoking room at the moment, so Zeng Yi moved a stool, leaned against the doorknob to prop it up, sat on it, held a cigarette in his left hand, and kept flicking it back and forth on the ashtray.

Then he looked at Cai Dongfan and said, "Dongfan, it seems that Professor Ding called me and said that we should routinely carry out conservative treatment of fractures and dislocations. Our department may not be able to get involved. Please help me relay it to Director Yan at that time." , this matter may have to be handled by you in the Second Department of Orthopedics.”

"After all, your department still has the brand of joint surgery. It's not that we don't want to help Professor Ding."

Speaking of this, Zeng Yi pecked hard again, and then said, "Professor Ding, I'll call him and explain myself."

Zeng Yi didn't say clearly that he actually wanted to take advantage of Cai Dongfan's popularity. Although he meant that, he couldn't say that.

Cai Dongfan nodded naturally. He never thought that the Department of Orthopedics would do dislocation of upper extremities with manipulative reduction and conservative treatment of fractures. The reason why he mentioned Zeng Yi and Yan Haihan was mainly because he hoped that they would agree to his group to do this matter.

It was Zeng Yi and Yan Haihan who insisted on interfering.

"Okay, Director Zeng, I will tell Director Yan about this." Cai Dongfan didn't gloat.

Although the orthopedics department is divided into departments, and each department is divided into treatment groups, they still break the bones and connect the tendons, and all are prosperous.

If something happened to Zeng Yi today, the hospital would definitely suspend all conservative treatments in the orthopedics department.This is not what Cai Dongfan wants to see.

Zeng Yi nodded, took a long breath, and the smoke in front of him was like an arrow.

His eyes were rather profound: "Dongfan, Luo Yun in your group, and Zhou Cheng, are rare talents."

"The joint surgery department of our eighth hospital is currently in a rather blank state. Only Director Wang's group will occasionally receive some joint replacement patients. Neither Li Changhong nor I have such energy to be distracted. For spine and upper limb patients, just That's enough of a headache for us."

"You have to take good care of these two people, maybe they can give our hospital a good start in joint surgery."

"Now the major hospitals in Shashi are highly competitive, and simple fracture surgery is becoming more and more routine in the province, and there are almost no fracture patients transferred. Our two departments do not have too many patients today."

"We have to find patients by ourselves, and make full use of the sources of diseases in outpatient clinics. It can also save them from traveling."

Speaking of this, Zeng Yi asked calmly: "Does Luo Yun intend to develop with Professor Ding? You can talk to Luo Yun in private about this!"

Luo Yun is a doctor in this hospital, and Zeng Yi is naturally aware of it, because of the personnel affairs in the department, he has to personally interview everyone who comes in.

Zeng Yi only knew that Luo Yun was a graduate student and a joint surgeon.I remember that when he interviewed Luo Yun, he asked: "Our hospital is different from the place where you study. Can you perform fracture surgery?"

Luo Yun shook his head and said truthfully: "I'm sorry, Director Zeng. When I was a graduate student, our team only worked on joints. We rarely contact fracture patients, but I can learn from—"

Then Zeng Yi threw it to Cai Dongfan, who was the deputy director at the time.I just didn't expect it.

Luo Yun is really professional in joint surgery.

Throw it to Cai Dongfan?
Come to think of it now.

It's not a mistake, but it's a bit reluctant.

Zeng Yi is very happy that Cai Dongfan can take the initiative to take up the blank of the joint and develop well.

Cai Dongfan blinked his small eyes, bowed his head and pondered for a while, then licked his lips, and said, "Director Zeng, I'm going to tell you something in private. I think you will definitely not say anything, Director Zeng."

"And I also know Director Zeng, you are a more daring person, otherwise, I would not have passed Director Yan to tell you about this."

Zeng Yi nodded: "Tell me, you, Cai Dongfan, have never been an honest person."

Zeng Yi didn't know if Cai Dongfan was implying that he was brave enough to share a piece of the pie without joint surgeons in the department, so he also played Cai Dongfan's bottom line first, is Cai Dongfan timid?
Not small.

That's fine.

Moreover, the orthopedics department of Eighth Hospital has never lacked courage.

"Professor Ding doesn't know Luo Yun. He intends to arrange for Zhou Cheng to arrange authorization for Class III surgery in a few months."

"To arrange the level III surgery authorization, we must first obtain the level II surgery authorization for Zhou Cheng and complete a certain amount of surgery. Before that, we must let Zhou Cheng do some level I surgery and operations first."

"That's why this happened." Cai Dongfan said in a low voice, his expression seemed dreamlike under the smoke.

Zeng Yi couldn't even recognize Cai Dongfan, his expression was stunned, his hands were stiff, his mouth was open, and he didn't dare to speak.

After a full 3 minutes.

Trembling all over, Zeng Yicai said, "Professor Ding wants to arrange for Zhou Cheng to be authorized for a Class III operation?"

"Our hospital has always performed leapfrog operations in secret. How can we grant them in advance?"

Attending doctors leapfrog grade III operations, residents leapfrog grade II surgeries, these cannot be put on the bright side.How could the medical department give you authorization in advance to help you take the blame?
If it happened, it would be sneaky, and the superiors would pretend it didn't happen.If it is obvious to ask for authorization, can the medical department agree?

Only then did Cai Dongfan smile and said, "Isn't there no one asking for this?"

"That's what I think. Since Professor Ding wants to train doctors in our hospital, we naturally can't hold Zhou Cheng back."

"I originally planned to let Zhou Cheng accumulate a certain amount of I-level surgeries, and then I would brazenly ask you, Director Zeng, and Director Yan to go to the medical department together, to show affection and reason, Fight for it."

"But since I happened to be talking about this today, I just want to ask Director Zeng for your opinion."

Cai Dongfan has a bright meaning and a dark meaning.

Knowing the first aspect, Professor Ding intends to arrange authorization for Zhou Cheng in advance for class III surgery. We need to help Zhou Cheng obtain authorization for class II surgery in advance.

On the second side, Zhou Cheng is not an employee of our hospital yet, Director Zeng.

Cai Dongfan has never been a 'good person', and he planned to keep Zhou Cheng in his heart, so he just took this opportunity to let Zeng Yi know that there is a reason why I want to keep Zhou Cheng.

As the chief director, Zeng Yi has seen too many things, so he naturally understands what Cai Dongfan said inside and outside the meaning.

There was another full minute of silence, and after putting out the cigarette in his hand, he lit another one, then scratched his head and said, "Cai Dongfan, I understand what you mean."

"Zhou Cheng is very good and a good talent. But why did you come to tell me now?"

"The establishment of the department has basically become a fixed number, unless there is an unexpected change. It can be corrected."

"What time is this?"

It's October.

It is too late.

In the department, there are only three establishments given by the hospital, two for him, and one for Yan Haihan, his two have already been arranged, and Yan Haihan's estimate has also been determined.Just wait for the exam.

Now Cai Dongfan suddenly came out, talking about Zhou Cheng's affairs, the bowls for the soup were gone, let alone the soup.

However, Zeng Yi is also a sensible person.

Ding Changle is a professor at the Affiliated Hospital of Shonan University, and he even planned to arrange for Zhou Cheng to be authorized for a Class III operation in advance. What does this mean?
Either Zhou Cheng is his illegitimate son, or Zhou Cheng's ability is very strong!It was approved by Ding Changle.

If it was the former, Ding Changle would never allow Zhou Cheng to work in the No. [-] Hospital, and he would directly go abroad for postgraduate study and Ph.D. and stay in the Affiliated Hospital of Shonan University.

Now that Professor Ding has helped with the side assessment, he feels that Zhou Cheng has such strength, and he will not think that Ding Changle will be a villain.Misread someone or something.

So he pondered for a while and said: "How about this, Zhou Cheng can be valued by Professor Ding, and his ability must pass the test. It is really hard to change the things that have been determined. Let's give a faculty appointment first."

"Equal pay for equal work."

"The benefits in the establishment are supplemented by performance."

"In terms of organization, next year Zhou Cheng will be considered as the first pick."

Zeng Yi became cruel, and gave Cai Dongfan a way of compensation that surprised Cai Dongfan.

Cai Dongfan looked at Zeng Yi in great surprise: "Director Zeng, this? Also? Too?"

Zeng Yi said: "For the development of hospitals and departments, the platform is the most important, and only talents can make the platform work well."

"I'm not stupid."

"Not to mention other things, as far as the postgraduates and doctors in Shonan University are concerned, how many can be authorized in advance for the surgery arranged by the professor personally?"

"Will people who can get this honor come to our Eighth Hospital?"

"Since Zhou Cheng is with us, we are close to the water, so we have to give up before we can keep him."

However, after finishing the above words, Zeng Yi took another puff of cigarette, and then said: "Although our hospital needs talents, we also hope that the comprehensive academic qualifications of our hospital staff can be improved."

"We still have to respect the consideration of the leadership of the academy."

"It is the hospital's regulations to provide graduate students. Regulations are dead, but people are alive."

"After Zhou Cheng stays, let's find a way to get a postgraduate degree. It will be easier to explain to the outside world."

Zeng Yi's words simply gave Cai Dongfan enough face, and also considered the overall situation, which has exceeded Cai Dongfan's expectations.

Cai Dongfan immediately nodded in response: "I know this, and I will tell Zhou Cheng. The decision made by the leadership of the academy must have good intentions, and we will try our best to follow it."

"Then I'll be here, first for Xiao Zhou, thank you Director Zeng."

Zeng Yi was too generous.

What are the advantages of the establishment, one is hidden benefits, and the other is stability. As long as you don’t make mistakes, the department cannot unilaterally fire you, which is like a talisman.

Basically, Zhou Cheng didn't have to think about being expelled unilaterally. The hidden benefits were paid out in a performance-based way, which was equivalent to paying extra money for Zhou Cheng to buy the hidden benefits that should be bought.

This sincerity is enough. Now that the staffing of the department has been settled, if there are major changes to be made, no matter whether it is Yan Haihan or Zeng Yi, it will definitely be quite embarrassing, and Cai Dongfan knows it well.

Because speaking of it, Zhou Cheng was stuck here because of his lack of academic qualifications. Those who had already contacted Zeng Yi and Yan Haihan would definitely kill Zhou Cheng because of this.

If this kind of entanglement can not happen, it is best not to happen.

Zeng Yi and Yan Haihan, although they are directors, are actually not easy.

It is already a blessing for orthopedics that Zeng Yi can have such courage.

Zeng Yi continued to nod, and said, "Well, let's arrange the matter of staying in the hospital like this first. You can explain it to Zhou Cheng carefully. I hope he can understand our difficulties. We also need to see how much we attach importance to him."

"In addition, regarding the authorization of Level II surgery, you will count me in the assessment list when the time comes, and I will call Director Wang, plus Yan Haihan."

"I don't believe it. The current directors of the two wards of our orthopedics department, plus Director Wang, the old chief director of the orthopedics department, the medical department doesn't even give this face."

"If we don't do anything in orthopedics, we won't do it. But since we want to do it, we must take it down."

After Zeng Yi made a cruel decision, he looked at Cai Dongfan again, speaking bluntly.

"But, Cai Dongfan, I want to put the ugly words first."

"I'm a person who doesn't want to doubt my brothers in the department. It's the same for Li Changhong, and it's the same for you."

"If you introduce another Wang Yaoxiang to me, I will kill you!"

"I cut off your tongue and fried it with wine." Zeng Yi's tone was slightly higher.

Cai Dongfan was taken aback, and looked at Zeng Yi.

Because Zeng Yi is the one who can do it.

Zeng Yi looked serious, but then he shook his head and said, "That's not the case, your director's outfit will last for a few years, and come hang out with me."

"I'll put Liu Suolong from our group in your position to lead the group."

After Zeng Yi finished speaking, he saw Cai Dongfan's face change again, so he cursed in a low voice: "Cai Dongfan, you can't be a white wolf with nothing."

"I'm seriously considering this matter. I've spent all my money. You can't just say a few words and let me bleed."

"If you think what I said is unacceptable to you, then let this matter go, or if you think about it carefully, come and bargain with me."

Zeng Yi was really screwed by Li Changhong and Wang Yaoxiang from their team, and it happened today.

Could he be more careful?

It's just that I can understand Cai Dongfan's hesitation, whether he is willing to take advantage of his own future for Zhou Cheng.It is also a problem for Cai Dongfan, do you really understand the people in your own group?

Back then, when director Wang Yongjin was the chief director, he beat me Zeng Yi much harder than today, Zeng Yi's mind was stirring...

Cai Dongfan pressed the butt of the cigarette into the ashtray with great force, and a little sweat broke out on his forehead.

Talking to Zeng Yi today is not a joke, but for real, how can this kind of thing be a joke?

Who is Zeng Yi?

Just received a call from Ding Changle yesterday, and today he dared to call director Guo Haoran of the emergency department to ask for a patient. Would he make such a joke with himself?

Just for Zhou Cheng?

Cai Dongfan thought for a while, then nodded fiercely, and said, "Director Zeng, I choose to believe in Zhou Cheng of our team!"

Zeng Yi put out his cigarette calmly and walked out of the 'relaxation room'.

The footsteps are steady, and there is no change in mind.

Inside, Cai Dongfan's expression was tangled, and after answering, he cursed in a low voice: Xiao Zhou, don't let me down.

Professor Ding, don't hurt me on purpose, and tell me that you read it wrong.

I put all my trust in you.

As long as Ding Changle wasn't joking with him, Zhou Cheng wouldn't be able to coax him. He had to fight for Ding Changle's arrangement. Professor Ding was willing to run for Zhou Cheng, so why couldn't he be more cruel...

Opportunities are rare and fleeting.

……

Zhou Cheng and Luo Yun walked out of the operating room.

Luo Yun tilted his head and asked Zhou Cheng: "Do you understand what I mean by the specialist examinations I mentioned just now?"

Zhou Cheng shook his head directly: "Mr. Luo, I know the Chinese translation of the physical examination signs of a small part of the English names you just mentioned. I don't understand the names, but according to the physical examination you did, I can guess come out."

Although Zhou Cheng can speak English, and the joint dislocation reset method has reached the perfect level, it does not mean that he has his own understanding of joint dislocation, but it is not just memorizing which inspection is performed by which What the foreigner raised is just to keep the purpose of the inspection in mind.

And if Zhou Cheng is willing, he can also make a negative and positive of ZHOU's sign.

But this requires a large number of patients with joint dislocations as the research basis, and then he needs to have a certain status in the world before he can arrange these things.

In the simulation copy, although he has done it, Zhou Cheng has no memory of the specific process, only the memory and understanding related to the healing skills.

In the mock copy, everyone's names were hidden, how could Zhou Cheng know this.

Luo Yun immediately rolled his eyes: "This is different!"

"I just speak English on purpose."

Luo Yun also didn't explain that he was reminding Cai Dongfan of joint surgery...

Then, Luo Yun changed the subject and said, "Director Zeng called Director Cai out on purpose just now. I think we will discuss your stay in the hospital. You can look forward to it."

"Well, I hope." Zhou Cheng also nodded.

He met Ding Changle yesterday, but the other party had no intention of accepting him as a student.

The east is not bright and the west is bright. One aspect of studying for a postgraduate entrance examination is for work and life.

Being able to stay in the Eighth Hospital is much better than the platform of the Town Hospital.

Hearing Zhou Cheng's answer, Luo Yun inadvertently asked: "Have you ever considered, how do you choose between staying in the hospital and improving your education?"

Luo Yun's consideration is to inquire about Zhou Cheng. If Zhou Cheng wants to go to graduate school, he doesn't need to limit his attention to the province.

Zhou Cheng smiled wryly, "I'm 26 years old now, Mr. Luo."

It means that if you go to graduate school and take a doctoral degree at this age, you will be over [-] in six years.

But Zhou Cheng still couldn't be sure of the truest thoughts in his heart, so he struggled again and said, "But let's see again, take one step at a time."

Luo Yun could tell that Zhou Cheng had the idea of ​​going to graduate school, it's just that.

Before?

How did it happen before?
Luo Yun also shook his head.

I will not continue to dwell on this topic any longer.

"Go back to the department first and finish your day shift. In the evening, I will replace you." Luo Yun then said to Zhou Cheng.

Zhou Cheng quickly shook his head: "Mr. Luo, no need. I will live in the department. I will go back later to get my schoolbag and change my clothes. Teacher Luo, go back and have a good rest. I can't figure it out, so I have to trouble you."

Just kidding, go back to rest by yourself, and Luo Yun will be on the night shift, is this a personnel matter?

Hearing this, Luo Yun touched his head, and the corners of his mouth twitched for a while.

Then he made up his mind, and asked Zhou Cheng forcefully: "Xiao Zhou, wise people don't speak secretly, a gentleman lies in being honest."

Luo Yun decided to be sensible, and confessed to Zhou Cheng leniently——

"What you really think in your heart is: you can't handle the patient, do you want to call me to sleep?"

If Zhou Cheng answers that it is necessary, then you can call, and I can only agree.

Zhou Cheng also touched his head, looked at Luo Yun's serious expression, smiled innocently, and replied very sensiblely: "Mr. Luo, my suggestion is to have another operation, what do you think?"

"I think it's very good!" Luo Yun nodded heavily and responded.

Sensible are sensible.

Acting plays a full set.

　The form is anti-theft, the content escapes, and there is no segmentation. I hope everyone protects their eyes.

　　
　
(End of this chapter)